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PRE 2010 DOCSE BUILDING PERMIT �I 'pillage of Dat ..... .. . Owner Ado" iii. Address .. J.JAW i# ..�'I�'.s�,.. r.. ..... i . it Fridley, Minn. W 2115 Builder..................1..`...................... Address .......•........!.j..... LOCATION OF BUILDING No p`. Street ..r:,,?.Part o4.0 ....... ......... . ...... Block .. • !........... Addition or Sub-Divisio�a . •l.....Corner Lot ............ Inside Lot ............. Setback ►�'!'' Sideyar:................ DESCRIPTION OF BUILDING To, be Used as: ..... Front e:. Depth ,-2k- *!'• Height � . sq. Ft, .. ..... Cu. Ft........ . j► +.%......... Front Depth . Height . t Sq. Ft......... Cu. Ft. Type of Construction '�� • Est. Cost ........ To be Compl . is it in consideration of the issuance to me of a permit to construct the building describ above, I agree to do the proposed work in accordance with the description above set forth' and in compliance -with all provisions of ordinances of the village of Fridley. ...... ........................ r'. �• In ironsideraiiaai of tki� payment of a fee of $.. , permit is hereby granted to ........ to construct the buildingaa ditlon as described above. tis gnted upon e exxpress condition that the person to whom it ig granted' and his agents, employees an workmen, in all work done;h around and upon said building, or any part thereof,; shall conform in all respects, o the ordinances of Fridley; Minnesota regarding Dation, construction, alteration, maintenance, "repair- and mo g of buildings with- in the Wiblage limits and this permit .may be revoked at -any tune upon violation any of the provisions of said ordinllances. NOTICE: '`his permit does not cover the construction, instaltatlon or alteration for wiring, plu sewer or water. Be sure to see the Building inspector for separate permits for these. iter gInspector ng, gas heating, City of Fridley, Athm. r� BUILDING PERMIT N° 5891 Date: �� _6 Owner: Builder Mao Address Address LOCATION�0 e D NG No. Street - �'� ✓ Part o t Lot .__ Block ^Addition or Sub -Division @.— Corner Lot _ Inside Lo Setback _ _ Sideyard Sewer Elevation — Foundation Elevation DESCRIPTION OF BUILDING T,o+ as: r Front Depth.' Height r Sq. Ft. Cu. Ft.' Front Depth eight �+ Sq. Ft. Cu. Ft. Type of Construction _ Est. Cost... To be Completed JJF In consideration of the issuance to me of a permit to construct the building described above, I agree to do the proposed work in accordance with the description above set forth and in compliance with all provisions of ordinaaoas of the city of Fridley. In consideration of the payment of a fee of $ , permit is hereby granted to v to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it granted and his agents, employees aad workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked at any tips upp violatio�,Qf any of the, provisions of said ordinances. ,' ,� , 1 Inspector NOTICE: This permit does not cover the construction, Installation for wiring, plumbing, gas heating, Sewer or water. Be sure to we the Building Inspector for separate permits for these items. 4 -A% APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA P -42- owner's m^ 40� 4hU�Builder a"/ Sr. 10z*4a-oV dwx LOCATION OF BUILDING No. Street Part of Lot Lot Block Addition or Subdivision Corner Lot Inside Lot Setback Side -Yard SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To be used as:moi Front - ® Depth �� S Height Sq. Ft. Cu. Ft. Front Depth Height Sq, Ft. Cu. Ft. Type of Construction ROA"rlel Estimated Cost To be Completed The undersigned hereby makes Application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. DATE l� 9 �� SIGNATURE «d 6( (Schedule of Fee Costs can be found on the Reverse Side). �f3L'q w . � Y Date: July 20, 1965 M. F. Mitchel City of Fridley, Minn. BUILDING PERMIT Address 6381 Monroe St. N.E. Builder Libby & Libby Co. Address 2812 Dupont Ave. So. 6381 Monroe st,Lq.�ATION OF BUILDING No. Street Part of Lot Lot 18 Block 7 Corner Lot Inside Lot Addition or Sub-Divisi — Setback Christie Sideyard Sewer Elevation Foundation Elevation To be Used as: Type of Construction DESCRIPTION OF BUILDING No 8241 Front Depth Height Sq. Ft Cu. Ft Front Depth Height Sq. Ft Cu. Ft Est Cost$5, 000.00 _ To be Completed Rep&ir Storm Damage In consideration of the issuance to me of a permit to construct the building described above I agree to do the proposed work in accordance with the description above f in th ill provisions of oidiaances of the city of Fridley. lu,uu LIbby & LIbby In consideration of the payment of a fee of $______ , permit is hereby granted to to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordiaancxs. Allen G. Jensen BuildingInspector NOTICES M pumb don not rarer the comendw, iastaQa m for vrbing, plumbing, on beating, nww w water. Be suns to we f6e SWAM Inspector tar apwafe pwad" for thea Rene. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME BUILDER ADDRESS �� �� �% '�a/�c`�l/J% ADDRESS ,eQ� LOCATION OF BUILDING NO, ) STREET PART OF LOT LOT / BLOCK ADDITION OR SUBDIVISION CORNER LOT INSIDE LOT SETBACK SIDE -YARD SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Two.Certificates of Survey. of Lot and.proposed building location drawn on these Certificates. - To be used as; 00 DESCRIPTION OF BUILDING Front Depth Height Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of Construction Estimated Cost�— To be completed The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings of the Department.of Buildings, and hereby declares that all the facts and representations.stated in this application are true and correct. DATE_f �� SIGNATURE V (Schedule of Fee Costs can be found on the Reverse Side). G;� SUBJECT M Q, City of Fridley 14924 AT THE TOP OF THE TWINS 1 I L D I� I G D[ D A A I T PERMIT r BUILDING D V ' v R'v, I RE Z L'�_�___ COMMUNITY DEVELOPMENT DIV. r 1 PROTECTIVE INSPECTION SEC. NUMBER REV. DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-560-3450910-F15 9/18/78 JOB ADDRESS 6381 Monroe Street N.E. 1 LEGAL LOT N0. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 18 % Christie Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS IZIP PHONE Roberta Mitchell 6381 Monroe Street N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Milton L. Johnson Co. 2513 Ceptral Avenue N.E. 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE X 8 DESCRIBE WORK Install aluminum trips 9 CHANGE OF USE FROM TO STIPULATIONS SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD'OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED. $2,000 $1.00 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GI E AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SACCHARGE PROVISIONS OF ANY OTH R TATE OR LOCAL LAW REGULATING CON.- $12.00 STEJUCTION OR THE PER, RM OF CONSTRUCTION. N PLAN CHECK FEE TOTAL FEE 13.00 SIGNATURE OF CONTRACTOR AUTHORIZED AGENT (DATE) ROPERLY V 1 T IS YOUR PERMIT n 'i� SIGNATURE OF OWNER (IF OWNER BUILDER) IDATEI SP DATE CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL.ALTERATION, ADDITION, OR REPAIR BUILDING PERMIT OWNER'S NAME: Pc L:;LTA �� �e H eL(BUILDER: L7 a1 �-Jc>�/r�sc� j ADDRESS: 6- 3 �/ ` � cd j p� e N it ADDRESS: � _� r � � A) NO :. 6 _zs s7I STREET: A e 0 LOT: /c9 BLOCK: % ADDITION: 157-4-c /91 -MAI CORNER LOT: INSIDE LOT: SETBACK: SIDEYARD: Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. To Re,TJsed As: DESCRIPTION OF BUILDING Front: Depth: Height: Square Feet: Cubic Feet: Front': Depth: Height: Square Feet; Cubic Feet: �o��Type of Construction: Aiv� 1 i-L.=1l Estimated Cost: $ To Be Completed: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in sttict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. DATE: �, ® SIGNATURE.- (See IGNATURE: (See Reverse Side For Additional Information.) 2• v 0 .Uv l 3- oa SUBJECT MI MO. City of Fridley WPE 18833 AT THE TOP OF THE TWINS BUILDING PERMIT ECEIP COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC.2 3 VQ l CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY •-__�"'1 ,� L 612-571-3450 910-F15 3/20/87 JOB ADDRESS 6381 Monroe Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 18 7 Christie Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Roberta Mitchell 6381 Monroe Street N.E. 571-7316 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Milton L— Johnson Co. 2513 Central Avenue N.E., MPIS 55418 781-9548 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION 1 REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof Dwelling 9 CHANGE OF USE FROM TO STIPULATIONS SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 ISTALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND .ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $2,000 $1.00 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $32.50 PLAN CHECK FEE TOTAL FEE p $33.50 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI_,2� WHEN PROPERL IBLDG INSP ALIDATED THIS IS YOUR PERMIT riATE SIGNATURE OF OWNER IIF OWNER BUILDERI (DATE) NEW [ ] City of Fridley Effective 4/1/86 ADDN. [ ] �R-1 AND R -2I ALTER. [ ] Building Permit Application Construction Address: 3� " /N e ^' Le f 6 � ALL --- Legal Description: Owner Name & Address: �i)� i `� , 4Tt Tel. # _ Contractor: / C-', z► � ,( .! /a� S 0 �� Cr Tel. # Address: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width __ Height Sq. Ft. ,— DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Corner Lot [ ] Inside Lot [ Y Ft. Yd. Setback Side Yard Setback Type of Construction: Estimated Cost: $ Approx. Completion Date: - Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: See Back Page for Explanation f / DATE: 3 � ° �7 APPLICANT: 2- z�-�/ Tel. . 7,Y " 7 CITY USE ONLY Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ SC2. 's -D $ f,00 $ $ $ 33 Fee Schedule on Reverse Side 25% of Building Permit Fee $.50/$1,000 Valuation $475 per SAC Unit Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] SUBJECT PERMIT NO. City of Fridley AT THE TOP OF THE TWINS BUILDING PERMIT 28255 ` RECEIPT NO. • _ COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. r PROTECTIVE I , NUMBERREV DATE PAGE OF APPROVED BY i A ;"' �•� CITY HALL FRIDLEY 55432 --_- 612-571-3450 910 -Fl 10/14/98 JOB ADDRESS 6381 Monroe Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DEscR. 18 1 7 Christie Addition SHEET 2 PROPERTY OWNER MAIL ADORES$ ZIP PHONE Roberta Mitchell 571-7316 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Owner 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO B USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION R)x REPAIR ❑ MOVE - ❑ REMOVE 8 DESCRIBE WORK Reroof house and garage (24 S Tear -off 8 CHANGEOFUSEFROM TO STIPULATIONS Underlayment must comply with the State Building Code. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. ' NO DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION ISTALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT $2056 $1.03 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $74.75 Fire S 2.06 PLAN CHECK FEE TOTAL 77 4 �GN URE FCON'F+ACTORO Aunp IZEDAGENT IDATEr N P S//OUR PERMIT :/JJ(jOE GNAT AE OF OWNEQ,IF OWNE BUILDER, IDATEI BLDG N DaiE NEW [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ J SINGLE FAMILY AND DUPLEXES R-1 AND R-2 1 BUILDING PERMIT APPLICATION �� ConstructionAddress: 71 f 21i�;� Legal Description: % 1-6 PQ D -277 e, Owner Name & Ad ress: �/� /�� �yj/]��; /��,� �. Tel. # %%r 7/,6' Contractor: MN LICENSE # Address: Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Le7� Wi th Hgt/Ground Sq. Ft. OTHER: 6 ` dos Construction Type: Estimated Cost: $ (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: /U - !�— APPLICANT: Tel. # CITY USE ONLY Permit Fee $ ?�T. .S Fee Schedule on Reverse Side Fire Surcharge $ o o i0 .001 of Permit Valuation (1/10th%) State Surcharge $ % oj� $.50/$1,000 Valuation SAC Charge $ $1000 per SAC Unit License Surcharge $ $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $ % STIPULATIONS: SUBJECT PER City of Fridley 2 8 6 �6 AT THE TOP OF THE TWINS BUILDING PERMIT x.572-36�, RECE C NITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. 1 . � NUMBERREV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 L 612-571-3450 910 -Ft5 11/30/98 JOB ADDRESS 6381 Monroe S 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 18 1 Christie Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Mrs. Roberta Mitchell 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Coronet Co.Inc. 2849 Blackstone Ave()27-9061 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK ® NEW O ADDITION O ALTERATION 0 REPAIR 0 MOVE O REMOVE B DESCRIBE WORK Patio awning cover 21'4" x 17'9" 9 CHANGE OF USE FROM TO STIPULATIONS Install per manufacturer's specifications. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO DWLG. UNITS OFFSTREET PARKING 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOT EE f1a) SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI L q.- SS -0// t I - 9 S E AO VALIDA D IS IS YOU PERMIT -AVIH BLDG NSP IIATE s S.GNATURE OF OWNER.IF OWNER BUILDER, IDATEI tvt:w 1 I ADDK { ALTER [ l �( Construction Address: Effective 1/1/98 CITY OF FRIDLEY ANGLE f,AiNULY AND OUlr'Y.E.XES R-1 iVNY) R -w BUILDING PERMIT APPLICATION Legal Description: O,,vner Name & Address: Kq/Z.5 XContractor:, ®r�G-T _ �- _ _ MN LICENSE#_ Address.; ��' L �GS 7��rd G S L"Ofu �y �r Tel. # ,, r 2-- T • �G t �� 3 w+' Attach to this application, a Ccrtifi�_atrvey c�£ the lot, with the proposed c.onstiuctiorn drawn oa it to scale. D'E:SCIUPTIOIN OF EMPROVENIENT LIVING AREA: Umgdi Width __-- _ Height sq: Ft. GARAGE AREA: Length _ _ Width _ _ lleigbt Sq. Ft. DECK AREA: Length _ _ Width _ I-lgt/Ground _ Sq. Ft. OTHER: 21s77 b c -w /W. -g „ 2 �� X 1 ? e Construction Type:L.�wsw� Estimated Cost: $ Q� ....... _ u I (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. -t- 6 1`t - Ft x $ _ $ 0 DA'T'E: /-44-- f f APPLICANT: ----- --- ' l/��- Tel. # 6`z_ - 7-,4 6i C17'Y USE ONLY Permit Fee $ �a��`- z7� :Fee Schedule on Reverse Side Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee' Sewer Main Charge TQTA,L ;art �f STIPU ATIONS: dk-P� $ % d1,� _ .001 of Permit 'Valuation (I/10th%) $.50/$1,000 Valuation $1000 per SAC Unit $ 57eD6_ $5.00 (State Licensed Residential Contractor's) $r_• Alt. "A" or Alt. "B" Above $ $450.00 Conservation Plan Review $_ Fee Determined by Engineering $ Agreement Necessary j ] Not Necessary [ ] oc> 100 /v 'TOTAL P.02 ©West Bend Mutual I•�L R�a.F. li))IP.%%I • IDIE I'E-"IED'VICE 1,444 I+pl St ll: t'II I�I'11.% v um 1: • %%LSTMAD.1%153 iA CUSTOMER -NO. 0110045250 R 120 CONTRACTORS BUSINESSOWNERS LIABILITY COVERAGE PART DECLARATION POLICY NUMBER BDN 0139932 08 RENEWAL INSURED NAME: CORONET COMPANY, INC AUDIT FREQUENCY: ANNUAL THE INSURED IS A CORPORATION EXCEPT FOR FIRE LEGAL LIABILITY, EACH PAID CLAIM FOR THE FOLLOWING COVERAGE REDUCES THE LIMIT OF INSURANCE WE PROVIDE DURING THE APPLICABLE ANNUAL PERIOD. PLEASE REFER TO SECTION III OF THE COMMERCIAL GENERAL LIABILITY FORM CCG00013. LIMITS OF INSURANCE: GENERAL AGGREGATE LIMIT (OTHER THAN PRODUCTS - COMPLETED OPERATIONS) $600,000 PRODUCTS - COMPLETED OPERATIONS AGGREGATE LIMIT $600,000 EACH OCCURRENCE LIMIT $300,000 FIRE LEGAL LIABILITY LIMIT, ANY ONE FIRE $100,000 PERSONAL AND/OR ADVERTISING INJURY LIMIT $300,000 MEDICAL EXPENSE LIMIT, ANY ONE PERSON $5,000 VOLUNTARY PROPERTY DAMAGE - EACH OCCURRENCE LIMIT $2,500 GENERAL AGGREGATE LIMIT $2,500 DEDUCTIBLE $ 100 PER CLAIM / LIMITED TO $2500 PER OCCURRENCE. PROPERTY DAMAGE COVERAGE (CG0300) DEDUCTIBLE $ 100 PER CLAIM - VOLUNTARY PROPERTY DAMAGE COVERAGE (WB144) SEE ATTACHED SCHEDULE FOR FORMS AND ENDORSEMENTS APPLICABLE TO THIS COVERAGE PART FORM NO. CGL COV 01/86 ISSUED 07/21/1998 AGENT COPY Building BUILDING $ Permit No.: Inspections RESIDENTIAL APPLICATION Received 763-572-3604 CITY OF FRIDLEY Date ��:NOV 03 763-502-4977 FAX $ 1U .0005 x Permit Valuation Minimum $.50 License Surcharge EFFECTIVE 8-19-09 $5.00 (State Licensed Residential Contractors) SAC Charge DATE f'z- Jzz - (2) YOUR E-MAIL ADDRESS t/e �iSic7&Z $ SITE ADDRESS a J S 1 446 .1 r 0 e �'J• - ,V $ $450 Conservation Plan Review THIS APPLICANT IS: 11OWNER ❑CONTRACTOR Fee Determined by Engineering Sewer Main Charge PROPERTY OWNER/ NAME: $ 1 > Make checks Davable to: Citv of Fridlev Attach Stiuulations ADDRESS: .S'% CITY ! STATE AAZIP 5 TENANT PHONE: 7a 3 `t° 96, - ,�Zr7, 1!7 CONTRACTOR NAME: SUBMIT A COPY OF YOUR STATE LICENSE STATE LICENSE # EXP DATE AND CERTIFICATE OF ADDRESS: CITY STATE ZIP INSURANCE PHONE FAX PROPERTY TYPE SINGLE FAMILY/NEW CONSTRUCTION SIZE 2 -:°®U S — ❑ TWO FAMILY/NEW CONSTRUCTION STORIES___Z_ PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK H41DING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION �KMAINTENANCEMEPAIR 4EMODELING DESCRIBE WORK BEING DONE: 5 , • -2 SIZE OF IMPROVEMENT 5 LENGTH WIDTH HEIGHT SQ FT ROOFING NUMBER OF SQUARES ❑ HOUSE ONLY ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: 1. Existing Floor Plan GARAGES O ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, Vinyl ❑Soffit ADDITIONS. & PORCHES SUBMIT: ❑ Aluminum ❑ Trim 1. Site Plan/Survey showing the existing structures ❑ Other ❑Fascia and proposed project. 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS FOR WINDOWS – PROVIDE U -VALUE AND OR FOR NEW OPENINGS -DESCRIBE SIZE OF MANUFACTURE STICKER ON WINDOW. OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: ��,(USING THFe1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $b = OCCUPANCY TYPE Permit Fee $ See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ .001 times the total job valuation Surcharge $ 1U .0005 x Permit Valuation Minimum $.50 License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge $ $2000 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $22 = $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ 1 > Make checks Davable to: Citv of Fridlev Attach Stiuulations THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit on site; that the work will be in accordance with the approved plan in the case of all work w/_hiehh�requires review and approval of plan SIGNATURE OF APPLICANT M,..'s /–� PRINT NAME DATE (( J Building $5 BUILDING Plan Review Permit No.:a6 1031 Inspections Fire Surcharge RESIDENTIAL APPLICATION Received By:,. 763-572-3604 $ 1 7 .0005 x Permit Valuation Minimum $.50 License Surcharge $ 0 0 $5.00 (State Licensed Residential Contractors) SAC Charge CITY OF FRIDLEY Date M AY � 1 763-502-4977 FAX $ ft + 6 ft = ft x $24 = $ Erosion Control $ $450 Conservation Plan Review EFFECTIVE 1-1-2010 $ Fee Determined by Engineering // DATE SA/W/0 YOUR E-MAIL ADDRESS &t'� e @ rn�nC S . Coly� 0Cro.� SITE ADDRESS 3981 Monroe- c cif= Make checks payable to: City of Fridley Attach Stipulations THIS APPLICANT IS: ❑ OWNER (o° ONTRACTOR PROPERTY OWNER/ NAME: ff 14-ti.b -,- TENANT ADDRESS: So. 54f_ acp4n,,.,7 CITY STATE ZIP PHONE: CONTRACTOR NAME: _ CMf_4_sw.-n Coriy-�. S"s, Lt L SUBMIT A COPY OF YOUR STATE LICENSE STATE LICENSE #_Z0 Co 3 7 S 1(o EXP DATE '3-31 " la AND CERTIFICATE OF ADDRESS: 1 5 t i 3 �re.ryi S+ CITY 14- C4 EL STATE V'hkJ ZIP ss3®Y INSURANCE PHONE 'X 3- ky 3 - l 6 94 FAX 7&3- 7W-8103 PROPERTY TYPESINGLE FAMILY/NEW CONSTRUCTION SIZE TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION ❑ MAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: Ge — 0&n& SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT SQ FT ROOFING❑ HOUSE ONLY NUMBER OF SQUARES 96 SOUSE & GARAGE BASEMENT REMODELING SUBMIT: 1. Existing Floor Plan GARAGES ❑ ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ vinyl ❑Soffit ADDITIONS. & PORCHES SUBMIT: ❑ Aluminum ❑ Trim 1. Site Plan/Survey showing the existing structures ❑ Other ❑ Fascia and proposed project. 2. Two sets of construction plans WINDOWS 3.. Energy Calculations IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS FOR WINDOWS — PROVIDE U -VALUE AND OR FOR NEW OPENINGS -DESCRIBE SIZE OF MANUFACTURE STICKER ON WINDOW. OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION S 9100 0 OCCUPANCY TYPE Permit Fee $5 See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ .001 times the total job valuation Surcharge $ 1 7 .0005 x Permit Valuation Minimum $.50 License Surcharge $ 0 0 $5.00 (State Licensed Residential Contractors) SAC Charge $ $2100 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $24 = $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ 7 7n '27R Make checks payable to: City of Fridley Attach Stipulations THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application fibr>Vpermit and work is not to start without a permit on site; that the work will be in accordance with the approved plan in the case of all c requirreview and approval of plans.g � � / SIGNATURE OF APPLICANT PRINT NAME_,.")? Cr 6 {— � DATE S`/S / 1 b